NPI | 1699089268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A13639) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 274346-134) |
Enumeration Date | 2010-08-05 |
Last Update Date | 2015-03-13 |